Beep, beep, the electrocardiogram curve on the monitor fluctuates with the sound.
The patient's blood pressure was a little low. The ECG curve was roughly normal, but I didn't know if something would happen if another bleeding would occur.
Luo Yanfen gritted her teeth and decided to fight to the death. She said to the nurse: "Go and prepare the three-chamber dicapsule tube immediately."
The doctor made the doctor's order, and the nurse ran to get the things.
Turning back, Luo Yanfen picked up his cell phone and spoke to the doctor on duty in the department tonight, informing the patient who was receiving it and his own treatment measures: "Doctor Chen, I'm afraid he will have an increase in bleeding and his blood pressure will be low."
"Did the blood test report come out?"
"I asked me to go to the laboratory department to get it. He took blood tests in the emergency room, but the report was not released, so the emergency room sent the patient first." Luo Yanfen reported the situation.
Dr. Chen was not very happy during the operation, and complained through the cell phone the nurse helped him take: "What are you doing in such a hurry to send it? The operation here is not over yet."
The surgery that Dr. Chen is doing now is a sudden turn from the internal medicine ward when he was taking over. It is an emergency surgery.
An emergency surgery requires at least two doctors from our hospital, and one or two internships to further study. It means that in addition to Dr. Chen, there are also doctors from our hospital performing surgery in the operating room. If there is an accident in the middle of the operation, you need to call the second and third lines to come back to support it. Now I heard that the second lines have come back to support it in the operating room.
"You think about it, there is no one left! If you can't do it, just call the third line, or ask your own teacher to come back!" Dr. Chen shouted from the opposite side.
The department’s front-line duty means: Next, for a long time, they should not expect the front-line to help and guide.
Luo Yanfen scratched her hair. Although she had worked in other hospitals before and was a doctoral student who resigned to study, she could give a doctor's advice when she took the doctor's license, but it was best to listen to the teacher here.
The sub-professional areas she worked and studied were not digestive, but urinary. Therefore, during the rotational stroke, Xie Wanying could not seriously say that this newcomer was not. She thought about it later.
Do you need to call the teacher back? Luo Yanfen turned around and frowned and thought about the consequences.
Call the teacher. If the teacher comes back and sees that the patient is not in serious condition, you must not lose any impression of her. It is best to report it to the teacher to make the teacher feel at ease. This is the best student. Because she is a student with a professional license and a doctor, she is not a clinical rookie.
There is no choice, so she looks at the patient again when she looks back.
Acute upper gastrointestinal bleeding is the most important thing in hemostasis and observation.
As long as the patient is not in control of heavy bleeding and the patient is not in shock, he does not need to be rushed into the operating room.
The key now is how to further stop bleeding.
In fact, this kind of patient can be sent to the gastroscopy and hemostatic technique for this kind of patient. The gastroenterology department has gastroscopy hemostatic technology. It is estimated that the gastroenterology department has no bed, so it is sent to their surgery department.
The patient is treated with ammonium acid, which is a commonly used clinical hemostatic agent, commonly known as hemostatic aromatic acid. It is not enough to hang hemostatic agents, so more radical measures must be taken for this major bleeding.
The nurse came in with the treatment cart and prepared the three-chamber dicapsular tube intubation items.
Chapter completed!